2013ISHEN肝硬化患者肝性脑病营养管理共识解读
薛冉,孟庆华
摘要(Abstract)：
<正>营养不良和肝性脑病(hepatic encephalopathy,HE)是肝硬化的两个最常见的并发症,两者对预后均有决定性的作用。对于肝硬化患者,尤其是合并HE后的患者,其营养状况的准确评估及有效改善,也许有助于预防HE的发生发展,并且促进其目前的管理。虽然当前存在一些营养论著和通用指南,但此领域的信息多数是基于临床实践或开放性临床试验。因此,国际肝性脑病和氮质代谢学会
关键词(KeyWords)：
基金项目(Foundation):
作者(Author): 薛冉,孟庆华
参考文献(References)：
- [1]Plauth M,CabréE,Riggio O,et al.ESPEN Guidelines onEnteral Nutrition:Liver disease[J].Clin Nutr 2006,25(2):285-294.
- [2]中华医学会重症医学分会.危重患者营养支持指导意见(草案)[J].中国危重病急救医学,2006,18(10):582-590.
- [3]Plauth M,CabréE,Campillo B,et al.ESPEN guidelines onparenteral nutrition:hepatology[J].Clin Nutr,2009,28(4):436-444.
- [4]侯维,孟庆华.肝病患者的营养代谢特点及营养干预措施[J].北京医学,2012,34(3):208-210.
- [5]ASPEN Board of Directors and the Clinical Guidelines TaskForce.Guidelines for the use of parenteral and enteral nutritionin adult and pediatric patients[J].JPEN J Parenteral EnteralNutr,2002,26(1 Supply):1SA-138SA.
- [6]Nakaya Y,Okita K,Suzuki K,et al.BCAA-enriched snackimproves nutritional state of cirrhosis[J].Nutrition,2007,23(2):113-120.
- [7]Yamauchi M,Takeda K,Sakamoto K,et al.Effect of oralbranched chain amino acid supplementation in the late eveningon the nutritional state of patients with liver cirrhosis[J].Hepatol.Res,2001,21(3):199-204.
- [8]Nakaya Y,Okita K,Suzuki K,et al.BCAA-enriched snackimproves nutritional state of cirrhosis[J].Nutrition,2007,23(2):113-120.
- [9]Moriwaki H,Miwa Y,Tajika M,et al.Branched-chain aminoacids as a protein-and energy-source in liver cirrhosis[J].Biochem Biophys Res Commun,2004,313(2):405-409.
- [10]Guarner F,Khan AG,Garisch J,et al.World GastroenterologyOrganisation Global Guidelines:probiotics and prebioticsoctobor 2011[J].J Clin Gastroenterol,2012,46(6):468-481.
- [11]Othman M,Agfiero R,Lin HC.Alterations in intestinalmicrobial fora and human disease[J].Curt Opin Gastroenterol,2008,24(1):ll-16.
- [12]himizu K,Ogura H,Goto M,et a1.Altered gut flora andenvironment in patients with severe SIRS[J].J Trauma,2006,60(1):126-133.
- [13]李兰娟.肠道微生态改变对肝脏疾病的影响[J].中华肝脏病杂志,2013,1(21):1-3.